The Promise of mHealth for Chronic Disease Management Under Different Payment Systems

References

• Adida E, Mamani H, Nassiri S (2017) Bundled payment vs. fee-for-service: Impact of payment scheme on performance. Management Sci. 63(5):1606–1624.Link, Google Scholar
• Agnihothri S (2021) Health apps track vital health stats for millions of people, but doctors aren’t using the data—here’s how it could reduce costs and patient outcomes. The Conversation. Accessed April 15, 2022, https://theconversation.com/health-apps-track-vital-health-stats-for-millions-of-people-but-doctors-arent-using-the-data-heres-how-it-could-reduce-costs-and-patient-outcomes-162575.Google Scholar
• Agnihothri S, Agnihothri R (2018) Application of evidence-based management to chronic disease healthcare: A framework. Management Decis. 56(10):2125–2147.Crossref, Google Scholar
• Agnihothri S, Cui L, Delasay M, Rajan B (2020) The value of mHealth for managing chronic conditions. Health Care Management Sci. 23(2):185–202.Crossref, Google Scholar
• Agnihothri S, Cui L, Rajan B, Banerjee A, Ramanujan R (2021) Mobile health application usage and quality of care at a hypertension clinic: an observational cohort study. J. Hypertens. 39(11):2265–2271.Crossref, Google Scholar
• Ahmadi-Javid A, Jalali Z, Klassen KJ (2017) Outpatient appointment systems in healthcare: A review of optimization studies. Eur. J. Oper. Res. 258(1):3–34.Crossref, Google Scholar
• Altschuler J, Margolius D, Bodenheimer T, Grumbach K (2012) Estimating a reasonable patient panel size for primary care physicians with team-based task delegation. Ann. Fam. Med. 10(5):396–400.Crossref, Google Scholar
• Andritsos DA, Tang CS (2018) Incentive programs for reducing readmissions when patient care is co-produced. Production Oper. Management 27(6):999–1020.Crossref, Google Scholar
• Basu S, Phillips RS, Song Z, Bitton A, Landon BE (2017) High levels of capitation payments needed to shift primary care toward proactive team and nonvisit care. Health Aff. 36(9):1599–1605.Crossref, Google Scholar
• Bavafa H, Hitt LM, Terwiesch C (2018) The impact of e-visits on visit frequencies and patient health: Evidence from primary care. Management Sci. 64(12):5461–5480.Link, Google Scholar
• Bavafa H, Savin S, Terwiesch C (2021) Customizing primary care delivery using e-visits. Production Oper. Management 30(11):4306–4327.Crossref, Google Scholar
• Brosig-Koch J, Hennig-Schmidt H, Kairies-Schwarz N, Wiesen D (2017) The effects of introducing mixed payment systems for physicians: Experimental evidence. Health Econom. 26(2):243–262.Crossref, Google Scholar
• Burton TM (2019) Trump administration launches program to rein in Medicare costs. Wall Street Journal.Google Scholar
• Centers for Disease Control and Prevention (2021a) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Accessed December 15, 2021, https://www.cdc.gov/chronicdisease/index.htm.Google Scholar
• Centers for Disease Control and Prevention (2021b) Health and economic costs of chronic diseases. Accessed November 30, 2021, https://www.cdc.gov/chronicdisease/about/costs/index.htm.Google Scholar
• Dai T, Akan M, Tayur S (2017) Imaging room and beyond: The underlying economics behind physicians’ test-ordering behavior in outpatient services. Manufacturing Service Oper. Management 19(1):99–113.Link, Google Scholar
• Diabetic Care Associates (2020) Private conversation with a practicing endocrinologist.Google Scholar
• Delana K, Deo S, Ramdas K, Babu G, Ravilla T (2022) Multichannel delivery in healthcare: The impact of telemedicine centers in southern India. Management Sci., ePub ahead of print July 21, https://doi.org/10.1287/mnsc.2022.4488.Link, Google Scholar
• Denicolo V, Garella PG (1999) Rationing in a durable goods monopoly. RAND J. Econom. 30(1):44–55.Crossref, Google Scholar
• Greenwald LM (2000) Medicare risk-adjusted capitation payments: From research to implementation. Health Care Financ. Rev. 21(3):1–5.Google Scholar
• Hughes JS, Averill RF, Eisenhandler J, Goldfield NI, Muldoon J, Neff JM, Gay JC (2004) Clinical Risk Groups (CRGs): A classification system for risk-adjusted capitation-based payment and healthcare management. Med. Care. 42(1):81–90.Crossref, Google Scholar
• James BC, Poulsen GP (2016) The case for capitation. Harvard Bus. Rev. 94(7-8):102–111.Google Scholar
• Li S, Bruen BK, Lantz PM, Mendez D (2015) Peer reviewed: impact of health insurance expansions on nonelderly adults with hypertension. Prev. Chronic Dis. 12:E105.Crossref, Google Scholar
• Lin C-CC, Dievler A, Robbins C, Sripipatana A, Quinn M, Nair S (2018) Telehealth in health centers: Key adoption factors, barriers, and opportunities. Health Aff. 37(12):1967–1974.Crossref, Google Scholar
• Medical Expenditure Panel Survey (2017) Medical Expenditure Panel Survey Home. Accessed March 15, 2020, https://meps.ahrq.gov/.Google Scholar
• Milani RV, Lavie CJ (2015) Healthcare 2020: reengineering healthcare delivery to combat chronic disease. Amer. J. Medicine 128(4):337–343.Crossref, Google Scholar
• Porter ME, Lee TH (2013) The strategy that will fix healthcare. Harvard Bus. Rev. 91(10):1–19.Google Scholar
• Rajan B, Tezcan T, Seidmann A (2019) Service systems with heterogeneous customers: Investigating the effect of telemedicine on chronic care. Management Sci. 65(3):1236–1267.Link, Google Scholar
• Ramdas K, Swaminathan S (2021) Patients could share virtual medical appointments for better access to telemedicine. Nat. Med. 27(1):14–16.Crossref, Google Scholar
• Ryan T (2019) Treating the smartphone generation: How doctors are embracing mHealth to improve patient care. Health Champion. Accessed December 15, 2021, https://myhealthchampion.com/treating-the-smartphone-generation-how-doctors-are-embracing-mhealth-to-improve-patient-care/.Google Scholar
• Schroeder SA, Frist W (2013) Phasing out fee-for-service payment. N. Engl. J. Med. 368(21):2029.Crossref, Google Scholar
• Steinhubl SR, Muse ED, Topol EJ (2015) The emerging field of mobile health. Sci. Transl. Medicine 7(283):283rv3–283rv3.Crossref, Google Scholar
• Torrey T (2020) How healthcare capitation payment systems work. Accessed December 15, 2021, https://www.verywellhealth.com/capitation-the-definition-of-capitation-2615119.Google Scholar
• Vasan RS, Larson MG, Leip EP, Kannel WB, Levy D (2001) Assessment of frequency of progression to hypertension in non-hypertensive participants in the Framingham heart study: A cohort study. Lancet 358(9294):1682–1686.Crossref, Google Scholar
• Volpp KG, Diamond SM, Shrank WH (2020) Innovation in home care: Time for a new payment model. JAMA 323(24):2474–2475.Crossref, Google Scholar
• Zuvekas SH, Cohen JW (2016) Fee-for-service, while much maligned, remains the dominant payment method for physician visits. Health Aff. 35(3):411–414.Crossref, Google Scholar